# A Technological Intervention to Improve Nutrition among Older Adult Congregate Meal Participants during COVID-19

> **NIH NIH R01** · UNIVERSITY OF TEXAS SAN ANTONIO · 2021 · $439,639

## Abstract

Project Summary/Abstract (29 out of 30 lines allowed)
 Inadequate nutrition and a lack of physical activity contributes to functional decline and complications from
chronic diseases in older adults. The pandemic has halted or altered necessary Older Americans Act (OAA)
nutrition services provided to vulnerable community-dwelling older adults in San Antonio, Texas. The “digital
divide” or gap in technological access and knowledge, further heightens the detrimental effect of the COVID-19
pandemic on older adults who may be “digitally excluded” from social, economic, and health-related
interactions. During the pandemic, seven San Antonio congregate meal sites located in areas with high poverty
and digital exclusion remain partially open biweekly to distribute meals but no longer offer in-person nutrition
education, physical activity classes, and social activities. The proposed project extends existing congregate
meal programming infrastructure and partnerships with Older Adults Technology Services (OATS) to provide a
sustainable approach focused on older adult health.
 This proposed digital nutrition intervention study will target technologically limited older adults enrolled in
the congregate meal program (CMP) using a stepped-wedge cluster clinical trial to allow for sequential
intervention enrollment with simultaneous control and intervention data collection timepoints. Key community
partners with the Department of Health Services Senior Services Division and OATS will participate in the
planning phase, research design, and implementation of the study. The 20-week intervention will include 5
weeks of technology training, including internet access and devices, followed by 15 weeks of a culturally
tailored nutrition intervention via online sessions. The study will enroll 480 older adults recruited from seven at-
risk congregate meal sites. Data will be collected at baseline, 3 months, 6 months, and 12 months. The study
aims are: 1) To test the impact of a technology-based intervention on the primary outcomes of food security
and diet quality; 2) To determine the effect of the intervention on secondary outcomes of technology
knowledge and usage, physical activity, and social isolation and loneliness; 3) To examine the long-term
impact and sustainability of technology use on food security, diet quality, physical activity, and social isolation.
If successful, the impact of this program could be applied throughout the national OATS network and to similar
CMPs to bridge the digital divide beyond the COVID-19 pandemic.

## Key facts

- **NIH application ID:** 10308307
- **Project number:** 1R01NR020303-01
- **Recipient organization:** UNIVERSITY OF TEXAS SAN ANTONIO
- **Principal Investigator:** Sarah Lynn Ullevig
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $439,639
- **Award type:** 1
- **Project period:** 2021-09-22 → 2024-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10308307

## Citation

> US National Institutes of Health, RePORTER application 10308307, A Technological Intervention to Improve Nutrition among Older Adult Congregate Meal Participants during COVID-19 (1R01NR020303-01). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10308307. Licensed CC0.

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